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Vascular Complications in Lumbar Spinal Surgery: Percutaneous Endovascular Treatment

Journal Article · · Cardiovascular and Interventional Radiology
DOI:https://doi.org/10.1007/S002709910012· OSTI ID:21083688
; ; ; ; ;  [1]
  1. Department of Radiology, College of Medicine, Seoul National University, 28 Yongon-dong, Chongno-gu, Seoul, 110-744 (Korea, Republic of)
Four patients underwent endovascular treatment of vascular injuries complicating lumbar spinal surgery. In two patients with massive retroperitoneal hemorrhage, the extravasating lumbar arteries were successfully embolized with microcoils. Two patients with large iliac arteriovenous fistula (AVF) were treated, one with embolization using a detachable balloon and coils, which failed, and the other with placement of a stent graft after embolization of distal runoff vessels, which occluded the fistula.We conclude that acute arterial laceration or delayed AVF complicating lumbar spinal surgery can be managed effectively with selective embolization or stent-graft placement, respectively.
OSTI ID:
21083688
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 23; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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